4N – Malnutrición en la Enfermedad Renal Crónica

Course Access: Lifetime
Course Overview

La malnutrición y la pérdida corporal progresiva de masa proteica y de reservas energéticas es una más de las complicaciones típicas asociadas a la enfermedad renal crónica (ERCA) y uno de los predictores independientes de mortalidad y morbilidad en estos pacientes.

Generalmente comienza en estadios iniciales de la ERC y se va agravando a medida que el filtrado glomerular desciende. Una vez empieza la diálisis, aproximadamente un tercio de los pacientes sufren desnutrición, incluso hasta el punto de que la muerte por caquexia no es rara, siendo esta desestimada en los registros de mortalidad. Las alteraciones nutricionales también van a condicionar los resultados del paciente trasplantado.

El origen de la desnutrición en pacientes con enfermedad renal crónica es multifactorial, y generalmente va asociado a inflamación e hipercatabolismo, conduciendo a una pérdida progresiva calórica y proteica, definida por la Sociedad Internacional de Metabolismo y Nutrición Renal como síndrome de desgaste proteico-energético o DPE (protein-energy wasting), concepto básico para poder explicar la etiopatogenia, las implicaciones clínicas, la importancia del diagnóstico y del tratamiento precoz y la influencia de las distintas técnicas dialíticas en el estado nutricional del paciente.

El manejo de la nutrición en la enfermedad renal crónica es complejo, pero es más sencillo y más fácil si se aborda de forma precoz, con el objetivo de prevenir y tratar. Lo ideal es que se realice de forma interdisciplinar, con equipos donde participen nefrólogos, enfermeras y auxiliares, nutricionistas, endocrinos y farmacéuticos, etc. La prevención, diagnóstico y tratamiento precoz de las alteraciones nutricionales en la ERC mejoran la morbimortalidad, disminuyen las hospitalizaciones, mejoran los resultados postrasplante y reducen los gastos asociados al paciente.

El presente curso tiene como objetivo conocer los mecanismos implicados en la malnutrición del paciente con enfermedad renal crónica, centrándonos en el concepto de síndrome de desgaste proteico-energético, valorar la importancia clínica, aprender la utilización rutinaria de la metodología diagnóstica y cómo realizar de forma práctica prevención y tratamiento.

775 thoughts on “4N – Malnutrición en la Enfermedad Renal Crónica

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  199. {Tôi đã háo hức để tìm thấy trang web tuyệt vời này. Tôi muốn cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn thích từng một phần nó và tôi đã lưu làm mục ưa thích để xem thông tin mới trên blog của bạn.|Tôi có thể chỉ nói rằng thật thoải mái để khám phá một người thực sự biết họ là gì thảo luận trên mạng. Bạn thực sự nhận ra cách đưa một vấn đề ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa cần kiểm tra điều này và hiểu khía cạnh này của. Tôi không thể tin bạn không nổi tiếng hơn vì bạn chắc chắn có món quà.|Rất hay bài viết. Tôi chắc chắn đánh giá cao trang web này. Tiếp tục làm tốt!|Thật khó đến những người có kinh nghiệm trong chủ đề cụ thể này, tuy nhiên, bạn có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn nên là một phần của một cuộc thi dành cho một trang web trên mạng có chất lượng cao nhất. Tôi sẽ Rất khuyến nghị trang web này!|Một hấp dẫn đáng giá bình luận. Tôi tin rằng bạn nên xuất bản thêm về vấn đề này, nó có thể không là một điều cấm kỵ chủ đề nhưng thường xuyên mọi người không thảo luận vấn đề như vậy. Đến phần tiếp theo! Chúc mừng.|Xin chào! Tôi chỉ muốn đề nghị rất to cho thông tin tuyệt vời bạn có ở đây trên bài đăng này. Tôi đang quay lại trang web của bạn để biết thêm thông tin sớm nhất.|Sau khi tôi ban đầu bình luận tôi có vẻ như đã nhấp vào hộp kiểm -Thông báo cho tôi khi có bình luận mới- và bây giờ mỗi lần được thêm vào tôi nhận được 4 email có cùng nội dung. Có lẽ có một phương pháp dễ dàng bạn có thể xóa tôi khỏi dịch vụ đó không? Kudos.|Lần sau Tôi đọc một blog, Tôi hy vọng rằng nó không thất bại nhiều như bài này. Rốt cuộc, Vâng, đó là sự lựa chọn của tôi để đọc hết, tuy nhiên tôi thực sự tin bạn sẽ có điều gì đó thú vị để nói. Tất cả những gì tôi nghe được là một loạt tiếng rên rỉ về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi thực sự nghĩ trang web này cần nhiều hơn nữa sự chú ý.

  200. {Tôi đã hạnh phúc hơn cả vui để tìm thấy trang web tuyệt vời này. Tôi muốn cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn yêu thích từng một chút nó và tôi cũng đã đã đánh dấu trang để xem điều mới trên blog của bạn.|Tôi có thể chỉ nói rằng thật nhẹ nhõm để tìm thấy một người mà thực sự hiểu họ là gì đang nói về trên internet. Bạn chắc chắn nhận ra cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa cần phải kiểm tra điều này và hiểu khía cạnh này câu chuyện của bạn. Tôi đã ngạc nhiên rằng bạn không nổi tiếng hơn vì bạn chắc chắn sở hữu món quà.|Rất hay bài viết trên blog. Tôi chắc chắn đánh giá cao trang web này. Tiếp tục viết!|Thật gần như không thể tìm thấy những người hiểu biết trong chủ đề cụ thể này, tuy nhiên, bạn nghe có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn nên là một phần của một cuộc thi dành cho một blog trên mạng hữu ích nhất. Tôi sẽ khuyến nghị blog này!|Một hấp dẫn chắc chắn đáng giá bình luận. Tôi nghĩ rằng bạn cần xuất bản thêm về chủ đề này, nó có thể không là một điều cấm kỵ chủ đề nhưng nói chung mọi người không nói về chủ đề như vậy. Đến phần tiếp theo! Trân trọng!|Xin chào! Tôi chỉ muốn đề nghị rất to cho thông tin tuyệt vời bạn có ngay tại đây trên bài đăng này. Tôi sẽ là trở lại trang web của bạn để biết thêm thông tin sớm nhất.|Sau khi tôi ban đầu để lại bình luận tôi có vẻ như đã nhấp hộp kiểm -Thông báo cho tôi khi có bình luận mới- và bây giờ bất cứ khi nào có bình luận được thêm vào tôi nhận được bốn email có cùng nội dung. Có một cách bạn có thể xóa tôi khỏi dịch vụ đó không? Cảm ơn.|Lần sau nữa Tôi đọc một blog, Tôi hy vọng rằng nó không làm tôi thất vọng nhiều như bài này. Ý tôi là, Tôi biết điều đó là sự lựa chọn của tôi để đọc hết, nhưng tôi thực sự nghĩ có lẽ có điều gì đó hữu ích để nói. Tất cả những gì tôi nghe được là một loạt tiếng rên rỉ về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi nghiêm túc tin trang web này cần nhiều hơn nữa sự chú ý.

  201. {Tôi đã rất hài lòng khám phá trang web này. Tôi cần cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn thưởng thức từng một phần nó và tôi cũng đã đánh dấu trang để xem thông tin mới trong trang web của bạn.|Tôi có thể chỉ nói rằng thật nhẹ nhõm để khám phá một người mà thực sự hiểu họ là gì đang nói về trực tuyến. Bạn chắc chắn nhận ra cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa nên xem điều này và hiểu khía cạnh này của. Tôi đã ngạc nhiên rằng bạn không nổi tiếng hơn vì bạn chắc chắn có món quà.|Rất tốt bài đăng. Tôi hoàn toàn yêu thích trang web này. Tiếp tục với nó!|Thật khó tìm những người hiểu biết về điều này, nhưng bạn có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn nên là một phần của một cuộc thi dành cho một trang web trên internet có chất lượng cao nhất. Tôi chắc chắn sẽ Rất khuyến nghị trang web này!|Một động lực đáng giá bình luận. Tôi tin rằng bạn cần viết thêm về chủ đề này, nó có thể không là một điều cấm kỵ chủ đề nhưng nói chung mọi người không nói về chủ đề như vậy. Đến phần tiếp theo! Cảm ơn rất nhiều!|Xin chào! Tôi chỉ muốn đề nghị rất cho thông tin xuất sắc bạn có ngay tại đây trên bài đăng này. Tôi đang trở lại trang web của bạn để biết thêm thông tin sớm nhất.|Khi tôi ban đầu bình luận tôi có vẻ như đã nhấp vào hộp kiểm -Thông báo cho tôi khi có bình luận mới- và từ bây giờ mỗi lần được thêm vào tôi nhận được 4 email có cùng nội dung. Có lẽ có một cách bạn có thể xóa tôi khỏi dịch vụ đó không? Cảm kích.|Lần sau nữa Tôi đọc một blog, Hy vọng rằng nó không thất bại nhiều như bài này. Rốt cuộc, Vâng, đó là sự lựa chọn của tôi để đọc, dù sao thì tôi thực sự nghĩ bạn sẽ có điều gì đó hữu ích để nói về. Tất cả những gì tôi nghe được là một loạt phàn nàn về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi thành thật tin trang web tuyệt vời này cần nhiều hơn nữa sự chú ý.

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  232. Merci pour cet article super intéressant sur [thème de l’article] ! Je voulais juste ajouter un point qui pourrait intéresser certains d’entre vous. Si vous êtes curieux ou cherchez des informations supplémentaires sur les produits liés à l’amélioration de l’expérience de discuter et de futur rencontre et du bien-être personnel, j’ai récemment découvert un site très complet, [Chemsexworld.com]( Chemsexworld.com .?

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